The disclosure form required in § 11-10-8 shall read as follows: BUILDER'S ENERGY EFFICIENCY DISCLOSURE STATEMENT Builder ______________________________________________________ Property Address ______________________________________________ ______________________________________________ This Disclosure Statement concerns the real property identified above situated in the City of _______________ County of ____________, State of South Dakota. Part 1. Builder shall provide the following information about the new residential building: 1. Has this new residential building been built or will it be built to meet the energy efficiency standards of the International Energy Conservation Code of 2009 (IECC 2009)? Yes ______ No ______ 2. Has this new residential building received or will it receive any other energy efficient certification? Yes ______ No ______ If yes, which certification(s): ______________________________________ Part 2. Builder shall describe the following energy efficiency elements of the new residential building: Actual 2009 IECC* 2009 IECC* Value Zone 5 Zone 6 Wall Insulation R-Value ________ R-20 (or R-13 R-20 (or R-13 cavity + R-5 insulated cavity + R-5 insulated sheathing) sheathing) Attic Insulation R-Value ________ R-38 R-49 Foundation Insulation R-Value Basement Walls ________ R-10/13** R- 15-19 ** Crawlspace Walls ________ R-10/13** R-10/13** Slab-on-Grade ________ R-10, 2 ft. depth R-10, 4 ft. depth Floors over Unheated Spaces ________ R-30 R-30 Window U-Value ________ 0.35 0.35 Door U-Value ________ 0.35*** 0.35*** Part 3. Builder shall provide the following information about equipment: 1. Does the new residential building contain an Energy Star certified: a. Water heater? Yes ______ No ______ b. Heating system (furnace, heat pump, or other)? Yes ______ No ______ c. Cooling system (air conditioner, heat pump, or other)? Yes ______ No ______ Part 4. Builder's Notes and Comments: _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ *IECC stands for International Energy Conservation Code. **The first R-Value applies to continuous insulation; the second to framing cavity insulation. ***One opaque door per building is exempt from this requirement.
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